TY - JOUR
TI - Risk factors for nosocomial bloodstream infections.
AU - Apostolopolou, E.
AU - Katsaris, G.
AU - Katostaras, T.
JO - British journal of nursing (Mark Allen Publishing)
PY - 2003
VL - 12
TODO - 12
SP - 718, 720-726
PB - 
SN - null
TODO - 10.12968/bjon.2003.12.12.11334
TODO - article;  artificial ventilation;  comparative study;  cross infection;  epidemiology;  female;  Greece;  human;  incidence;  injury;  intensive care unit;  male;  middle aged;  multivariate analysis;  regression analysis;  retrospective study;  risk factor;  sepsis;  statistics;  Swan Ganz catheter;  tracheostomy;  urinary tract infection, Catheterization, Swan-Ganz;  Causality;  Cross Infection;  Female;  Greece;  Humans;  Incidence;  Intensive Care Units;  Male;  Middle Aged;  Multivariate Analysis;  Regression Analysis;  Respiration, Artificial;  Retrospective Studies;  Risk Factors;  Sepsis;  Tracheostomy;  Urinary Tract Infections;  Wounds and Injuries, MLCS;  MLOWN
TODO - A retrospective study of 205 patients was performed to identify the risk factors associated with nosocomial bloodstream infection (BSI). The study occurred during a 5-month period in four medical-surgical intensive care units (ICUs) in Athens, Greece. Risk factors were determined using single and multivariate analyses. Thirty-five patients developed nosocomial BSI (17.1%). The incidence density (defined as the number of new cases of BSI divided by the total of patient-days in the population studied; Jarvis, 1997) of BSI was 14.3 per 1000 patient-days (total number of days that patients are in the ICU during the selected time period). A multivariate model showed that only three factors were significantly and independently responsible for nosocomial BSI: the length of ICU stay (adjusted odds ratios (AOR) 1.052, 95% confidence interval (CI) 1.018-1.087, P = 0.002); the presence of trauma at admission (AOR 2.622, 95% CI 1.074-6.404, P = 0.034); and nosocomial ventilator-associated pneumonia (AOR 6.153, 95% CI 2.305-16.422, P = 0.000). These results show that the factors that had most influence on the development of nosocomial BSI were those factors associated with the treatment received by patients during ICU stay.
ER -